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ISAAC ARNOLD BOHANNON MD
NPI 1497964720
Otolaryngology - Plastic Surgery within the Head & Neck in Bellevue, WA

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
11511 NE 10TH ST, BELLEVUE, WA 98004(425) 502-3000 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2021, Apr 2, 2019 (2 updates tracked since 2019).

About Isaac Arnold Bohannon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISAAC ARNOLD BOHANNON MD (NPI 1497964720) is an individual plastic surgery within the head & neck provider in Bellevue, Washington, licensed in Washington (MD60147213) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2004).

NPPES Registry Identity

NPI1497964720
Entity TypeIndividualFemale
Primary Taxonomy207YX0007X
Provider Legal NameISAAC ARNOLD BOHANNONCredential: MD
Location Address11511 NE 10TH STBellevue, WA 98004-8578
Mailing Address11511 Ne 10th StBellevue, WA 98004-8578 · (425) 502-3000
Phone(425) 502-3000
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2004
Enumeration DateMay 22, 2007
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
✔ NPI 1497964720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in WA · MD60147213
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 27041 (AL)
11511 NE 10TH ST, Bellevue, WA 98004
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Isaac Arnold Bohannon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779634605
PECOS Enrollment IDI20101203000372
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATSY C LAZAROUS MD
Internal Medicine
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SALMA F GHARIB M.D.
Emergency Medicine (Emergency Medical Services)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
PAULA J LINS P.A.-C
Physician Assistant
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
SARAH PROCKO CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
BENNET M. WANG M.D.
Internal Medicine (Pulmonary Disease)
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
CARA PRANGE PT
Physical Therapist
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (800) 995-5658
DR. BRYN MCKINNON SMITH MD
Obstetrics & Gynecology
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000
MR. GARRETT MATTHEW KOSLAN CNM
Advanced Practice Midwife
11511 NE 10TH ST
BELLEVUE, WA 98004
King County (425) 502-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Isaac Bohannon's NPI number?

The NPI number for Isaac Bohannon is 1497964720. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Isaac Bohannon located?

Isaac Bohannon practices at 11511 NE 10th St, Bellevue, WA 98004. The listed phone number is (425) 502-3000.

What is Isaac Bohannon's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Isaac Bohannon enrolled in Medicare?

Yes. Isaac Bohannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Isaac Bohannon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Isaac Bohannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Isaac Bohannon was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.